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Saving the Soul of Medicine
 
 
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Editorial Reviews

From Booklist

Experienced in managed care and fee-for-service practice, gynecologist Mahony knows whereof she writes and writes well. The conflict between the two types of care is between avarice and ethics, she says. Managed care and insurance administrators claim they are cutting costs, but their insistence on bureaucratic rules frequently causes harmful, even dangerous, delays that ultimately cost businesses and patients more money. Mahony cites many such incidents, some of them appalling. Managed care sees medicine as a service, and that attitude is easily assumed by patients, who see an HMO visit as very like visiting, say, Jiffy Lube. Physicians and patients need time to develop trust and to form human relationships, however, and this is where soul enters the picture. Physician and patient must talk and listen to each other profoundly; doing otherwise makes the profession of medicine just an impersonal business. This remarkable book is no idealistic, ivory-tower exercise. Mahony writes of real physicians and patients and practically suggests how medical and hospital practice may be again what they should be. William Beatty
Copyright © American Library Association. All rights reserved


Product Description

Author is a physician in San Jose, CA. Describes the daily and nightly intrusion of mismanaged care into the doctor-patient relationship. A series of case vignettes documents the effects of restricted choice of physicians, pre-authorization bureaucracy, refusal to reimburse for services, and more. For physicians, nurses, and the interested public.

Product Details

  • Hardcover: 363 pages
  • Publisher: Robert D. Reed Publishers; 1st edition (August 15, 2000)
  • Language: English
  • ISBN-10: 1885003358
  • ISBN-13: 978-1885003355
  • Product Dimensions: 9.3 x 6.3 x 1.3 inches
  • Shipping Weight: 1.8 pounds
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon.com Sales Rank: #2,194,392 in Books (See Bestsellers in Books)

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7 of 7 people found the following review helpful:
5.0 out of 5 stars "Must" reading for all health care professionals & activists, August 3, 2000
By Midwest Book Review (Oregon, WI USA) - See all my reviews
Based on hundreds of true-life stories and viewpoints of patients, doctors, nursers, and health care professionals, Saving The Soul Of Medicine is an impressive and informative compendium of inspiring essays demonstrating the spiritual aspects of the physician/patient relationship -- and how to heal it when dysfunctions. Dr. Margaret Mahony is an activist for health care reform and maintains a private gynecology practice in San Jose, California. During her last years as a participating HMO physician, her growing concern for her patients' welfare moved her to collect actual patients stories that document a stunning indictment of a health care system gone awry. Saving The Soul Of Medicine not only reveals how contemporary health care service provider organizations have gone astray from the social and ethical commitments to serving the public, it also advocates for us to take back control of the medical industry as it is currently constituted in the form of managed health care practices as routinely employed by contemporary HMO organizations. Saving The Soul Of Medicine is "must" reading by all health care activists and reformers, health care service providers and insurers, legislators and health care policy makers, and the non-specialist general reader with a vital interest in this pressing and universal social issue.
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5.0 out of 5 stars Eye Opening Revelations, October 16, 2006
By Richard R. Blake (Bridgman, Michigan) - See all my reviews
(TOP 500 REVIEWER)      
Dr. Margaret Mahony takes the reader behind the scenes and into the intimate world of a physician. Her book "Saving the Soul of Medicine" bears witness to the unpredictable, intense, and complex issues physicians face on a daily basis. She shares her experiences, thoughts, and reflections.

In the first section Dr. Mahony relates the stories of patients, caregivers, and members of the medical profession. These life experiences reveal the impact of "managed care" on doctor - patient relationships, patient care and treatment and the complexity of making the "system" work.

Dr. Mahony opens part two "Unsung Heroes and Heroines" this way: "There is a palpable uneasiness present in the entire medical community. `Entire' meaning all of the persons who work in this vast and complex enterprise. This includes the allied health staff, the nurses, the physicians, the educators, and all others who have daily contact with the human beings who come to them in their hour of need, seeking attention, seeking recovery, seeking healing."

The author then draws attention to changes in the quality of the nursing staff, formulary prescription policies, changes in the pharmaceutical industry, all issues currently being dictated by large HMO managed care decision makers. Trusting patients become vulnerable victims of an insurance driven system.

In part three of the book Mahony's describes what it means to be a physician. She details her role as authority figure, patient advocate, arbitrator, and the current blurring image of that role. She describes it as somewhere between "deity and a drain fixer."

Mahony concludes by heralding a call to reclaim the physician patient relationship. In addition she proposes two solutions to implement change. First is the medical savings account. Her second proposal calls for adoption of the Planetree philosophy. This is a non profit health care organization dedicated to creating health care environments that are nurturing, healing, and educational.

Mahony is sensitive to the principles of medical ethics set forth by the American Medical Association and is committed to providing her patients with a quality health care, well being, and healing. She is articulate, well qualified as a practicing physician, and an expert in women's health issues. She has been Director of the Women's Health Program at the Center for Integrative Medicine at O'Conner Hospital in San Jose, California.

This is a book that should be read by every patient and health care professional. It is a wake up call to action, a call to a passionate dedication to save the soul of medicine.

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